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NVIRONMENTAL HEALTH DEPARTMENT . <br /> E SAN JOAQUIN COUNTY Unit Supervisors <br /> Carl Borgman,R.E.H.S. <br /> Donna K.Heron,R.E.H.S. 304 East WCUBT Avenue,TI11Td Floor Mike Huggins,R.E.H.S.,R.D.I. <br /> DirectorCalifornia 95202-2 <br /> Stockton, 708 Douglas W.Wilson,R.E.H.S. <br /> t <br /> At Olsen,R.E.H.S. n <br /> Margaret Lagoo,R.E.H.S. <br /> .p• Program Manager Telephone: (209) 468-3420 . Robert McClellon,R.E.H.IS <br /> • Cq Cj'p pHA` Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> Program Manager <br /> UNIFIED PROGRAM HAZARDOUS WASTE INSPECTION REPORT <br /> Facility Name G\Z`I rO <br /> Address <br /> State CA Zip Code <br /> City <br /> EPA I.D.Number <br /> 000 \ IndustryType's:U7Z <br /> Facility Contact <br /> y��\F \�4'q� ��u.Title* �— Phone <br /> Consent Given By <br /> V�X�- �,4,�,.�� Title OWE <br /> Inspection Type (circle): outine Complaint Follow-Up <br /> Inspection Date(s) <br /> REPRESENTATIVES PRESENT <br /> Title Organization <br /> Name <br /> are <br /> ations <br /> one <br /> more <br /> ons of the California <br /> Health and Safety Code (HSC) or the CaliforniaaC de of Regulations, TitleTitle 22 (22tCCR)rr relating t tithe management of <br /> hazardous waste. The violations may be described in more detail on the attached note sheets. After completing the <br /> evaluation of the information obtained during the inspection,you may be informed of additional violations. <br /> If any violations are noted, the facility is required to submit a signed Certification of Return to Compliance within 60 <br /> days, unless otherwise specified (A certification form is provided). <br /> Failure to correct these violations within the scheduled VFDatb <br /> ay result in San Joaquin County Environmental <br /> Health Department(EHD)citing you for continuing/additiouance of this Inspection Report does not preclude <br /> EHD from taking any administrative, civil or criminal actioviolations noted. <br /> \—A O <br /> En ' al lth Specialist <br /> Dat <br /> Page 1 of S <br /> 3/5/02 <br />